DNB CTVS Question- December 2013

DECEMBER 2013  

PAPER II
1. a. Enumerate causes of pleural effusion. b. mention the criteria to label an effusion as a transudate or exudates. c. Management of malignant pleural effusion.3+3+ 4
2. a. Enumerate names of 6 trials comparing CABG with PCI.    b. What is MACE?   c. What are the recent outcomes from the syntax trial? 3+2+ 5
3. a. Describe the blood supply of the spinal cord.   b. Classify thoraco-abdominal aneurysms with diagram(s).   c. Describe landing zone criteria.4+3+ 3
4. a. What are modified Duke’s criteria for diagnosing native valve  endocarditis (NVE)?    b. Enumerate the organisms responsible for NVE.    c. What is the guideline for surgery in NVE? 4+2+4
5. a. Enumerate the congenital coronary artery anomalies.    b. What are the different options available for treating ALCAPA?5+ 5
6. a. What are the Choussat’s criteria for single ventricle repair? b. Describe the concept of one and a half ventricle repair? Where is it  indicated?  c. Enumerate complications of single ventricle repair.4+3+ 3
7. a. Enumerate complications of MI.  b. Briefly describe the surgical management of post MI VSD. 5+5
8. a. What do you mean by [i] bridge to transplant                                                  [ii]destination therapy       [iii] bridge to recovery? 6
b. What are the different types of long term mechanical circulatory support         devices? Briefly discuss its follow up. 4
9. a. What is post-operative renal dysfunction?  b. Mention its etiology and     diagnosis.  c. Briefly describe management of this disorder.2+(2+2)+ 4
10. a. Enumerate the PDA dependent circulation. b. How will you maintain patency of the PDA in such a case and mention complications of such therapy?     c. What is differential  cyanosis and mention its causes? 2+5+3

DECEMBER 2013  PAPER III
1. a. Describe the applied anatomy of mitral valve. b. What are the surgical methods to tackle ischemic mitral regurgitation? [5+5]
2. Discuss lung transplant under the following headings:
a. Indications [4]
b. Post operative complications [4]
c. Results [2]
3. a. What is PET? [1]
b. What is its role in SOL of lung? [4]
c. What is its role in ischaemic myocardium and ischaemic    cardiomyopathy? [5]
4. A) what is lung volume reduction Surgery (LVRS)
B)mention inclusion and exclusion criterion
C) Mention surgical techniques 1+3+3+1
5. A) state the materials used in making bio-valves and outline the treatment procedures available
B) Discuss the current status of bioprosthetic valve uses  5+5
6. A) what is patient prosthetic mismatch (PPM)
B) classify PPM
C) how do you investigate a patient suspected to have severe PPM  3+2+5
7. A) What is cardiac MRI
B) explain its relevance in defining anatomy , physiology, and function of heart with examples 2+3+3+2
8. A) Discuss intraoperative graft patency assessment during CABG
B) Discuss briefly background and current status of TMR ( TRANS MYOCARDIAL REVASCULARIZATION). 5+5
9. Describe the pathogenesis , causes and management of pulmonary hypertensive crisis. 3+2+5
10. A) Discuss the immunopathology of myasthania gravis
B) Discuss the biological markers in carcinoma lung. 5+5

DNB CTVS questions- December 2014

DECEMBER 2014  

PAPER 1
1. Discuss in brief “coagulation cascade” . how will you plan anticoagulation in a lady with prosthetic valve during pregnancy? 5+5
2. discuss pathophysiology , types ,& principles of management of double outlet right ventricle (DORV) 3+3+4
3. what is fibrous skeleton of heart? Draw a labeled diagram of it. what are the surgical implications of these structures in different procedures? 2+2+6
4. describe mechanism of cerebral injury during cardiopulmonary bypass. Discuss various neuroprotective strategies.5+5
5.illustrate the surgical anatomy of aortic root. Draw labeled diagram to show methods of aortic root enlargement.4+6
6. Discuss lymphatic drainage of lungs to mediastinal lymph nodes. Illustrate lymph node stations in relation to bronchogenic carcinoma.4+6
7. Describe various criteria to diagnose left ventricular hypertrophy on electrocardiogram. Enumerate various treatment options available for hypertrophic obstructive cardiomyopathy HOCM.5+5
8. a) describe the anatomy of venous drainage of heart.4
b) draw a diagram of triangle of Koch 4
c) enumerate various coronary sinus interventions. 2
9.Discuss pathophysiology of cardiopulmonary bypass (CPB). Compare the effects of CPB in terms of hypothermia and normothermia.5+5
10. Discuss applications of statistical tests. What are limitations and deficiencies of these tests , related to research skills in Cardiac surgery?6+4

December 2014  Paper II
1. Discuss various techniques of total chordal preservation of mitral valve.10
2. Discuss the pathophysiology and management of hypoplastic left heart syndrome.4+6
3. Enumerate various cardiac tumours. Briefly discuss clinical presentation , diagnosis and management of the commonest primary tumor of the heart in adults.3+7
4.Enumerate various systemic pulmonary shunt operations done for congenital cyanotic heart disease. Describe complications of any two shunts .4+3+3
5. Describe pathology , investigations and treatment of chronic constructive pericarditis.2+4+4
6. Discuss concept and relevance of intracoronory shunts and stabilisers used in OPCABG.4+3+3
7. compare outcome and techniques of classical and fenestrated fontans operation . 5+5
8. Classify total anomalous pulmonary venous connection. Describe various radiologic features . Describe various risk factors involved in its surgical management.Enumerate early and late complications .2+3+2+3
9. Describe fetal circulation. Mention changes at birth . What are the fundamental physiological consequences due to these changes in neonate?3+2+5
10. Describe indications of transesophageal echo cardiography . Describe various views used for valves and cardiac function. 5+5

December 2014   Paper III
1. Describe principles and various uses of PET in cardiac evaluation 5+5
2. Discuss the risk factors for developing paraplegia during coarctation of aorta repair and management to prevent it 4+6
3. Discuss indications and complications of lung resection surgery . what is completion pneumonectomy?(4+4)+2
4. Classify thymic tumours and describe role of thymectomy in myasthenia gravis. 4+6
5. Describe concept of “Tissue engineered heart valves” .Describe in brief current status of heart valve banking and heart valves substitutes in India .3+4+3
6. Describe etiology , clinical features and treatment of infantile lobar emphysema 2+3+5
7. Define and classify heart failure. 2+2
Discuss current status of total artificial heart.6
8. Describe gene therapy in ischaemic heart disease.10
9. When is myocardial viability test is indicated ? Discuss current modalities available for this test.4+6
10. Discuss the indications and scope of robotic in cardiac surgery.4+6